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The patient we discuss is my wife Lamyaa and we belong to Iraq. She was in 37 of age. She has five kids.

In the beginning of 2013 my wife started to feel pain in his stomach. Her doctor in Iraq told her that she had colon infection and gave her some medicines. She feels better but day after day she feels she cannot eat .Slowly she started to loose weight. After about 9 month, she lost about 25 kg and her Hb dropped down to 7gm %. She cannot move and she felt tired all the time and she spend all their time on the bed.

Treatment stag

After that we decided to got to India to do some testing there. We met dr. SK Gupta there. He is very intelligent doctor, no doubt about that and when somebody when consult

She did four test such as Bone Marrow Aspiration, CBC & diff test, PET Scan and most importantly endoscopy guided biopsy of a stomach swelling. He sat for around 1hr to discuss about her condition and why these investigations are required, which we feel are very important to discuss . After he did all important test, Dr. SK Gupta told us that, Lamyaa has cancer in her stomach (B cell Non Hodgkin’s lymphoma) and its treatment is R-CHOP chemotherapy for 4 cycle and than assessment of response by PET CT. Lamyaa had to take chemotherapy treatment. Dr Sunil told us that there is big hope to back Lamyaa to her normal live but she have to big strong and patient.

He also told that as cancer has involved wall of stomach so there is risk of perforation (Hole ) which can be managed in most of time if detected early , so he kept for around 6days in hospital after giving Ist cycle of chemo-plus targeted medicine. Lamya received couple of cycles in India and than rest cycles she received in Iraq under full guidance with Dr Gupta. ** ***** *** *** **** ******** ***** * ****** ** **** **** ***** ********* ** **** **** ************ *********. After that she did complete test and the doctor found that the cancer has been gone and she be very well.

Through the treatment there were many advantages which can easily overcome few limitations :

The advantages were:

The patient weight is grow up and in the end of last chemotherapy she was 55 kg. and her blood Hb was about 10.

However, the most limitations were the side effects of treatments such as the patient lost her hair and this was a very big problem that we faced.

Patient in this case be very sensitive and feel he/she will loss everything and his\her live will stop in any minute. So, we should encourage him and not allowed people to see the patient especially in beginning of treatment and all family member should tall the patient he will be fine and tell hem many stories for another patient that he be fine and back to his or her life. And it will be very much good idea if we meet them together.

Also patient should be at home with his/her family and that might give him opportunity to back to her/his life and eat traditional food or cook what he\she want.

Lamyaa is very lucky person because she has had very intelligent doctor and staff of hospital. Dr Gupta makes everything is easy for us and gave Lamyaa very big hope to be well and encourage her. Dr Gupta also continue with us even after Lamyaa be good for about 3 years. Every three months we do blood test treatment and send the result to him and he gave us feedback without any cost .